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Time In: <br /> San Joaquin County �� �� <br /> Environmental Health Department <br /> VE <br /> W. X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �� <br /> • {• �p Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> cj• er�'�' <br /> Underground Storage Tank Program Service Request I rt <br /> Name of Facility: 7-ELEVEN Date: 04/11/2019 <br /> Address: 121 S CENTER ST, STOCKTON 95202 <br /> Requestor: 7-ELEVEN, 7-ELEVEN#38153 Telephone: (925)353-7496 <br /> Program Element: 2303-UST/PIPING INSTALLATION Request#: SR0079171 <br /> Inspection Type: 131 -UST INSTALLATION INSPECTION <br /> Onsite Service Technician: Sergio L Nunez ICC Service Tech/Installer Exp. Date: 08/11/2019 <br /> Manufacturer training: Tank tester, 06/30/21; iota VaporTite, 12/31/19; iotaVision TM, 12/31/19 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness enhance leak detection(ELD)testing scheduled for 4/11/19 at 8am.Arrived on site met with Rafael Flores, <br /> UST Installation/Retrofitting(expires 4/24/19).The service Technician conducting the ELD test was Sergio Nunez ICC <br /> certification#8032738(expiration date 8/11/19),tank tester license#06-1727(expiration date 6/30/21), iotaVisionM(expiration <br /> 12/31/19)iota VaporTite(12/31/19)while the inspector was on site the vent piping, vapor recovery piping, 87 product piping, <br /> 87 product tank, 91 product piping, 91 product tank, Diesel product piping and Diesel product tank were tested.All test passed. <br /> Submit test results to EHD for review. This service request is NOT complete, please contact Elena Manzo to schedule future <br /> inspections. <br /> The facility may not receive fuel until EHD has received and reviewed ELD test results. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Rafael Flores, Foreman <br /> EH Specialist: ZUNA BARKER Phone: (209)953-7311 <br /> SR0079171 SC131 04/11/2019 <br /> EHD 23-01 Rev,06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />